Deck 3: The Development of the Canadian Health Care System

Question 1

One of the reasons for medical dominance was the discovery of antibiotics and sulphates in the 1930s and 1940s.

Answer 1

True

Question 2

The Federal Health Minister responsible for the 1984 Canada Health Act is:

A) Marc Lalonde
B) Monique Bégin
C) Pierre Trudeau
D) Brian Mulroney

Answer 2

Monique Bégin

Question 3

The five principles of Canadian Health Care Medicare) include which of the following?

A) Availability
B) Accessibility
C) Exclusivity
D) Transferability

Answer 3

Accessibility

Question 4

The Canadian Medical Association CMA) historically was in support of a publicly funded health care system.

Question 5

Universality, as one of the principles of Canadian Health Care, is based on:

A) The guarantee of health care for all Canadian citizens regardless of their ability to pay for service.
B) The guarantee of health care for all Canadian citizens regardless of their geographic location.
C) The guarantee of all necessary services being provided in hospitals or by physicians.
D) The non-profit nature of the Canadian health care system.

Question 6

The five principles of Canadian Health Care Medicare) include which of the following?

A) Duality
B) Generality
C) Inclusiveness
D) Public administration

Question 7

The most recent physician strike to occur in Canada occurred in which province?

A) Saskatchewan
B) British Columbia
C) Ontario
D) Nova Scotia
E) Quebec

Question 8

"Proletarianization" of physicians refers to:

A) The precarious position that health care professionals other than doctors
B) What happens to any profession when the system they operate in changes from a government run-business to a for-profit business.
C) One of the social class categories identified by Marx in his writings in Capital
D) What happened to physicians as a result of the implementation of the bureaucratic publicly funded Medicare in Canada
E)g., nurses) experience in their work environments.

Question 9

One of the key components of the 1984 Canada Health Act was:

A) The elimination of extra billing.
B) The restriction of physician payments.
C) The enhancement of physician payments.
D) The permission of nurse practitioners to practice medicine.

Question 10

Which of the following was NOT one of the reasons that universal health care was opposed by physicians and physician associations?

A) Universal health care was a threat to the autonomy of physicians to practice medicine.
B) Universal health care was a threat to the doctor-patient relationship.
C) Universal health care was a threat to the entrepreneurial status of the profession.
D) Universal health care was a threat to the quality of medicine.

Question 11

Capitation, as a form of physician payment, means physicians would be reimbursed by:

A) A fee-for-service payment structure.
B) A fee for each patient registered under the physician.
C) A fee for each prescription written.
D) A paid salary similar to any salaried employee.

Question 12

Portability, as one of the principles of Canadian Health Care Medicare), is based on:

A) The ability to travel with public health insurance coverage into the United States.
B) The ability to travel with public health insurance coverage across provinces.
C) The ability to travel with public health insurance coverage within a specific province.
D) The ability to transfer public health insurance coverage within a family to a member who may be without their own coverage.

Question 13

The British North America Act BNA) of 1867 specified that health care was the responsibility of the federal government.

Question 14

"Proletarianization" of physicians refers to what happens to any profession when the system they operate in changes from a government run-business to a for-profit business.

Question 15

The National Forum on Health Care Report in 1997 recommended public funding for which of the following services?

A) Pharmacare
B) Dentistry
C) Community health centres
D) Palliative care

Question 16

Universal health care was opposed by physicians for which of the following reasons.

A) It was a threat to the autonomy of physicians to practice medicine.
B) It was a threat to the doctor-patient relationship.
C) It was a threat to the entrepreneurial status of the profession.
D) All of the above.

Question 17

The first Canadian province to pass provincial legislation for public health insurance was:

A) Saskatchewan
B) British Columbia
C) Ontario
D) Nova Scotia
E) Quebec

Question 18

Which of the following is NOT one of the four pillars of research for the Canadian Institutes of Health Research CIHR)?

A) Clinical
B) Biological
C) Population health
D) Health systems and services

Question 19

Which of the following is NOT one of the myths of the current push toward privatization outlined by health economist Robert Evans?

A) Privatization of health services will control health care costs.
B) Public health care spending is increasingly out of control.
C) The cost of health care is eating up all the provincial budgets and crowding out other services.
D) Our aging population will make health care unaffordable.
E) Privatization will improve the quality of health care delivered to Canadians.

Question 20

The first provincial public hospital insurance program was implemented in which province?

A) Saskatchewan
B) British Columbia
C) Ontario
D) Nova Scotia
E) Quebec

Question 21

The five principles of Canadian Health Care Medicare) include which of the following?

A) Inclusiveness and universality
B) Accessibility and duality
C) Inclusiveness and comprehensiveness
D) Portability and public administration

Question 22

The five principles of the Medical Care Act of 1966 are 1)________________________; 2)__________________________; 3)________________________; 4)__________________________; 5)___________________________

Question 23

New Public Management NPM) reforms initially implemented in the 1980s under the Thatcher government in the United Kingdom proposed that the best way to increase efficiency and reduce costs in the system through which of the following ways?

A) Promote competition in service delivery among providers.
B) Encourage patients to be compliant toward prescribed treatments.
C) Cut back services offered under the public umbrella of health care.
D) Increase opportunities for medical tourism.

Question 24

The Royal Commission on the Future of Health Care in Canada headed by Roy Romanow released its report in 2002 and made which key recommendation?

A) The formation of a two-tiered public-private health care system.
B) The sustainability of the current public health care system.
C) The ability for paraprofessionals to practice some duties of physicians to reduce expenses.
D) The change in physician payment for a fee-for-service plan to a salaried plan with benefits and pensions.

Question 25

The National Forum on Health Care Report in 1997 recommended public funding for pharmacare.